ISIS I BURGOS-CHAPMAN (Credential# 1157857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ISIS I BURGOS-CHAPMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051911. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Cornell Scott Hill Health Center, New Haven, CT 06519. The current status is active.
| Licensee Name | ISIS I BURGOS-CHAPMAN |
| Credential ID | 1157857 |
| Credential Number | 1.051911 |
| Credential Type | Physician/Surgeon |
| Business Address |
Cornell Scott Hill Health Center New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-05-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1167397 | CSP.0054823 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Cornell Scott Hill Health Center |
| City | New Haven |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Ortoleva | Cornell Scott Hill Health Center, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia Ei Pittard | Cornell Scott Hill Health Center, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ulises Miguel Bonilla Burgos | 4401 N 6th St Apt 101, Mcallen, TX 78504-2575 | Physician/surgeon | 2016-08-29 ~ 2017-03-31 |
| Isis A Bartels Md | Isis A. Bartels, M.d., Goshen, CT 06756 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Angel Burgos · Burgos Variety | 743 Artic Street, Bridgeport, CT 06608 | Grocery Beer | 2002-01-04 ~ 2003-01-03 |
| Todd Chapman | 4852 E Fairmount Ave, Phoenix, AZ 85018-5527 | Physician/surgeon | ~ |
| Faith N Pinkerton Md | 63 Chapman St, Newington, CT 06111-1702 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Teodor Georgescu | 17 Chapman Ct, New Britain, CT 06051 | Physician/surgeon | 1981-01-01 ~ 1993-07-31 |
| Charles G Daukas | 49 Chapman Rd, Weekapaug, RI 02891 | Physician/surgeon | 1993-05-25 ~ 1994-03-31 |
| Chapman Coyle Chapman & Associates · Chapman Coyle Chapman Assoc Architects Inc | 1225 Johnson Ferry Rd Bldg #800, Marietta, GA 30068 | Architecture Corporation | ~ |
| Nan Zhu Chapman | 14445 Olive View Dr, Sylmar, CA 91342 | Physician/surgeon | 2020-03-06 ~ 2021-02-28 |
| Luis Chapman | 805 Atlantic Street, Stamford, CT 06902 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Please comment or provide details below to improve the information on ISIS I BURGOS-CHAPMAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).